Organization Active NPI

Kathleen Jordan MD PC

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1366033656
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KATHLEEN JORDAN MD PC
Practice address
15051 N Kierland Blvd Ste 200
Scottsdale, AZ 85254-8161
Phone
(332) 203-0933
NPI assigned
Jan 29, 2021
Organization subpart
Yes
Parent organization
KATHLEEN JORDAN MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tom Barnes
Title
VP, Payer Strategy & Revenue Cycle
Phone
(973) 943-0967

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

15051 N Kierland Blvd Ste 200
Scottsdale, AZ 85254-8161

Mailing address

30 E 23Rd St Ste 700
New York, NY 10010-4408
Phone (973) 943-0967

National Provider Directory

National Provider Directory
Tax ID family
Kathleen Jordan MD PC5 organizations share this tax ID, including this one
Part of
Kathleen Jordan MD PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15051 N Kierland Blvd
Ste 200
Scottsdale, AZ 85254
Phone (332) 203-0933

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1366033656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 23RD ST STE 700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104408",
            "telephone_number": "973-943-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 N KIERLAND BLVD STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548161",
            "telephone_number": "332-203-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN JORDAN MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KATHLEEN JORDAN MD PC",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "VP, PAYER STRATEGY & REVENUE CYCLE",
        "authorized_official_telephone_number": "973-943-0967",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.